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General NPI Number Information
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NPI Number | 1922253236
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Entity Type | Organization
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Legal Business Name | PERMIAN BASIN CARING HEARTS HOME HEALTH INC
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 519 GOLDER AVE
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City | ODESSA
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State | TX
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Zip | 79761-4411
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Country | US
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Telephone | 432-550-0833
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Fax | 432-332-5661
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Provider Business Mailing Address
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Address Line | 519 GOLDER AVE
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City | ODESSA
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State | TX
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Zip | 79761-4411
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Country | US
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Telephone | 432-550-0833
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Fax | 432-332-5661
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. DEBRA JEAN HARDGRAVE
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Credential |
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Telephone | 432-213-4803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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